A Case Report on Extended Hemiarch Repair for Stanford Type A Aortic Dissection / 日本心臓血管外科学会雑誌

ABSTRACT

We performed a surgical correction on a 53-year-old male patient, who had suffered from Stanford type A aortic dissection. The thoracic aorta was dilated along its whole length. Under retrograde cerebral perfusion, the correction consisted of extended Cooley's hemiarch repair and the closure of the tear, which was an entry into the pseudolumen of the descending thoracic aorta. The postoperative course was uneventful except a temporary DIC due to extensive thrombosis of the pseudolumen of the descending thoracic aorta. We think that the second operation of the descending thoracic aorta is unneccesary. Although the staged operation is generally approved for broad Stanford type A aortic dissection, we succeeded in a clinically curative one-staged operation using extended Cooley's hemiarch repair only with a median sternotomy.